| NPI | 1407463730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA DU BOIS HEPWORTH Founder Rgc/Psychotherapist 907-352-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |